Tax Invoice/Bill of Supply/Cash Memo
(Original for Recipient)
Sold By : Billing Address :
COCOBLU RETAIL LIMITED Vipin Sharma
* Rect/Killa Nos. 38//8/2 min, 192//22/1,196//2/1/1, 230, sudama gali jain nagar khera firozabad,
37//15/1, 15/2,, Adjacent to Starex School, Village Sudama gali jai, Sudama gali jain nagar khera
- Binola, National Highway -8, Tehsil - Manesar firozabad
Gurgaon, Haryana, 122413 FIROZABAD, UTTAR PRADESH, 283203
IN IN
State/UT Code: 09
PAN No: AAJCC8517E
GST Registration No: 06AAJCC8517E1ZP Shipping Address :
Vipin Sharma
Vipin Sharma
230, sudama gali jain nagar khera firozabad,
Sudama gali jai, Sudama gali jain nagar khera
firozabad
FIROZABAD, UTTAR PRADESH, 283203
IN
State/UT Code: 09
Place of supply: UTTAR PRADESH
Place of delivery: UTTAR PRADESH
Order Number: 408-9393191-8635545 Invoice Number : DEL5-1296130
Order Date: 10.05.2024 Invoice Details : HR-DEL5-1271137075-2425
Invoice Date : 10.05.2024
This is a replacement issued free of cost against the original order(s) and invoice(s) listed in
detail below.
Sl. Net Tax Tax Tax Total
Description Unit Price Qty
No Amount Rate Type Amount Amount
1 Wings Phantom 430 Best Low Latency Wireless Earbuds, 50 Hours
Playtime Gaming Airbuds Sync App Support, Mic Touch
Controls,Gaming Case & LED Lights | B0BSRV7ZKY ( ₹0.00 1 ₹0.00 18% IGST ₹0.00 ₹0.00
B0BSRV7ZKY )
HSN:85183000
Original
Original Order / Original Invoice Price
171-6156906-7893924 / DEL5-1130178
₹2,999.00
TOTAL: ₹0.00 ₹0.00
Amount in Words:
Zero only
For COCOBLU RETAIL LIMITED:
Authorized Signatory
Whether tax is payable under reverse charge - No
*ASSPL-Amazon Seller Services Pvt. Ltd., ARIPL-Amazon Retail India Pvt. Ltd. (only where Amazon Retail India Pvt. Ltd. fulfillment center is co-located)
Customers desirous of availing input GST credit are requested to create a Business account and purchase on Amazon.in/business from Business eligible offers
Please note that this invoice is not a demand for payment
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